| NPI | 1427594308 |
|---|---|
| Doing Business As | MEDICAL MALL OF ARIZONA |
| Entity Type | Organization |
| Authorized Contact | KRISTINE SMITH Member 480-999-0049 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2017-01-16 |
| Last Update Date | 2017-01-16 |